Indiana
Professional Licensing Agency
Jason Thomas Gaisford
Physician Assistant
License number
10001602A
Date granted
10/16/2013
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 29180373
LAST UPDATED 2024-03-06 13:52:59 UTC
LAST UPDATED 2024-03-06 13:52:59 UTC
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